Doering Jennifer J, Maletta Kristyn, Laszewski Audrey, Wichman Christina L, Hammel Jennifer
University of Wisconsin-Milwaukee.
Children's Hospital of Wisconsin.
Infant Ment Health J. 2017 Jul;38(4):523-535. doi: 10.1002/imhj.21656. Epub 2017 Jun 15.
This article describes the needs and challenges faced by home visitors, supervisors, and clients when conducting perinatal depression screening. Home visitors (n = 11), supervisors (n = 5), and clients (n = 9) representing rural and urban practice settings in Wisconsin were recruited into three separate focus groups. Themes were identified from the transcribed audio-recorded interviews using content analysis. Results indicate that a trusting relationship was leveraged to facilitate depression screening and referral. Home visitors personalized care to a client's context and to protect confidentiality. Home-visiting practice demanded flexibility and negotiation in decision-making with clients and families. Coordinating access to mental health evaluation in areas of limited access was a common challenge. Participants reported a need for further training on safety management. With adequate training and support, home visitors are well-positioned to promote access to mental health services in vulnerable families to support infant mental health.
本文描述了家访人员、督导人员和客户在进行围产期抑郁症筛查时所面临的需求和挑战。招募了代表威斯康星州农村和城市实践环境的家访人员（n = 11）、督导人员（n = 5）和客户（n = 9）参加三个单独的焦点小组。使用内容分析法从转录的录音访谈中确定主题。结果表明，利用信任关系来促进抑郁症筛查和转诊。家访人员根据客户的具体情况提供个性化护理并保护隐私。家访实践要求在与客户和家庭的决策中具有灵活性和协商性。在获取机会有限的地区协调心理健康评估是一个常见挑战。参与者报告需要接受更多关于安全管理的培训。通过充分的培训和支持，家访人员有能力促进弱势家庭获得心理健康服务，以支持婴儿心理健康。
